河南农村地区男性艾滋病合并贫血患者生存质量及影响因素分析

Study on the Quality of Life and Influencing Factors of Male AIDS Patients with Anemia in He'nan Rural Areas

目的调查了解河南农村地区男性艾滋病合并贫血患者生存质量及影响因素。方法使用中文版WHOQOL-BREF量表,对70例男性艾滋病合并贫血患者进行问卷调查,计算生存质量各领域得分及总分,并与常模进行比较;对可能影响患者生存质量的因素进行分析。结果患者生存质量各个领域、整体生存质量及健康状况得分与常模比较结果如下,生理领域:(13. 53±1. 75)分(P <0. 05);心理领域:(12. 91±1. 61)分(P <0. 05);独立性领域:(12. 14±1. 54)分(P> 0. 05);社会关系领域:(12. 24±1. 66)分(t=6. 6703,P <0. 05);环境领域:(12. 04±1. 07)分(P> 0. 05);精神支柱和个人信仰领域:(11. 13±1. 42)分(P> 0. 05);自我总生存质量及健康状况评价得分:(11. 49±2. 25)分(P <0. 05)。单因素分析结果显示患者的年龄、婚姻状况、文化程度及CD4+T细胞分段等因素对患者生存质量各领域得分影响较小(P> 0. 05)。结论河南农村地区男性艾滋病合并贫血患者生存质量明显低于普通人群,应加强此类人群的基础疾病治疗,加强社会关怀力度,以提高生存质量。

Objective To investigate the quality of life and influencing factors of male AIDS patients with anemia in Henan rural areas. Methods The quality of life of 70 male AIDS patients with anemia was surveyed by WHOQOL-HIV-BREF questionnaire （ Chinese version）, and the total score and the scores of six domains of QOL were calculated, then the results were compared with norm. The influencing factors of the quality of life were analyzed. Results The results of total score and the scores of six domains of QOL compared with norm：physical domain（ 13.53 ± 1.75 ） （P 〈 0.05 ） ; psycholog-ical domain（ 12.91 ± 1.61 ） （ P 〈 0.05 ） ;independent domain（ 12. 14 ± 1.54 ） （ P 〉 0. 05 ） ;soeial relation domain ： （ 12.24 ±1.66 ） （ P 〈 0. 05 ） ; environment domain ： （ 12.04 ± 1.07 ） （ P 〉 0. 05 ） ; spirituality/religion/personal belief domain ： （ 11.13 ± 1.42） （P 〉 0. 05 ） ; total score ： （ 11.49 ± 2.25 ） （ P 〈 0.05 ）. Single factor analysis results suggested that marital status, age, educational level, and CD4 ＋ T lymphoeytes on the scores of six domains of QOL were small （ P 〉 0.05 ）. Conclusion QOL of male AIDS patients with anemia in Henan rural areas is generally low, and the whole society should offer supports for improving QOL of AIDS patients.